Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease
Pregnancies among women with chronic disease are associated with poor maternal and fetal outcomes. There is a need to understand how women use or don't use contraception across their reproductive years to better inform the development of preconception care strategies to reduce high risk uninten...
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| creator | Harris, Melissa L Egan, Nicholas Forder, Peta M Bateson, Deborah Loxton, Deborah |
| description | Pregnancies among women with chronic disease are associated with poor maternal and fetal outcomes. There is a need to understand how women use or don't use contraception across their reproductive years to better inform the development of preconception care strategies to reduce high risk unintended pregnancies, including among women of older reproductive age. However, there is a lack of high-quality longitudinal evidence to inform such strategies. We examined patterns of contraceptive use among a population-based cohort of reproductive aged women and investigated how chronic disease influenced contraceptive use over time.
Contraceptive patterns from 8,030 women of reproductive age from the Australian Longitudinal Study on Women's Health (1973-78 cohort), who were at potential risk of an unintended pregnancy were identified using latent transition analysis. Multinomial mixed-effect logistic regression models were used to evaluate the relationship between contraceptive combinations and chronic disease. Contraception non-use increased between 2006 and 2018 but was similar between women with and without chronic disease (13.6% vs. 12.7% among women aged 40-45 years in 2018). When specific contraceptive use patterns were examined over time, differences were found for women with autoinflammatory diseases only. These women had increased odds of using condom and natural methods (OR = 1.20, 95% CI = 1.00, 1.44), and sterilisation and other methods (OR = 1.61, 95% CI = 1.08, 2.39) or no contraception (OR = 1.32, 95% CI = 1.04, 1.66), compared to women without chronic disease using short-acting methods and condoms.
Potential gaps in the provision of appropriate contraceptive access and care exist for women with chronic disease, particularly for women diagnosed with autoinflammatory conditions. Development of national guidelines as well as a clear coordinated contraceptive strategy that begins in adolescence and is regularly reviewed during care management through their main reproductive years and into perimenopause is required to increase support for, and agency among, women with chronic disease. |
| doi_str_mv | 10.1371/journal.pone.0268872 |
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Contraceptive patterns from 8,030 women of reproductive age from the Australian Longitudinal Study on Women's Health (1973-78 cohort), who were at potential risk of an unintended pregnancy were identified using latent transition analysis. Multinomial mixed-effect logistic regression models were used to evaluate the relationship between contraceptive combinations and chronic disease. Contraception non-use increased between 2006 and 2018 but was similar between women with and without chronic disease (13.6% vs. 12.7% among women aged 40-45 years in 2018). When specific contraceptive use patterns were examined over time, differences were found for women with autoinflammatory diseases only. These women had increased odds of using condom and natural methods (OR = 1.20, 95% CI = 1.00, 1.44), and sterilisation and other methods (OR = 1.61, 95% CI = 1.08, 2.39) or no contraception (OR = 1.32, 95% CI = 1.04, 1.66), compared to women without chronic disease using short-acting methods and condoms.
Potential gaps in the provision of appropriate contraceptive access and care exist for women with chronic disease, particularly for women diagnosed with autoinflammatory conditions. Development of national guidelines as well as a clear coordinated contraceptive strategy that begins in adolescence and is regularly reviewed during care management through their main reproductive years and into perimenopause is required to increase support for, and agency among, women with chronic disease.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0268872</identifier><identifier>PMID: 37134070</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Australia - epidemiology ; Australians ; Birth control ; Chronic diseases ; Chronic illnesses ; Cohort analysis ; Cohort Studies ; Committees ; Complications and side effects ; Condoms ; Contraception ; Contraception Behavior ; Contraceptive Agents ; Contraceptives ; Diagnosis ; Disease ; Female ; Fetuses ; Health aspects ; Health risks ; Humans ; Inflammatory diseases ; Longitudinal Studies ; Medical research ; Medicine and Health Sciences ; Medicine, Experimental ; Middle Aged ; Population ; Pregnancy ; Regression analysis ; Regression models ; Reproductive sterilization ; Research and Analysis Methods ; Research ethics ; Sterilization ; Vasectomy ; Women ; Womens health</subject><ispartof>PloS one, 2023-05, Vol.18 (5), p.e0268872-e0268872</ispartof><rights>Copyright: © 2023 Harris et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Harris et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Harris et al 2023 Harris et al</rights><rights>2023 Harris et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c642t-9b41fe95e0ab55e441dd153bc57ab0c2ffbd101ee6d5083e45347b4f11a077913</cites><orcidid>0000-0002-5733-9684</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155986/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155986/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37134070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Tsima, Billy Morara</contributor><creatorcontrib>Harris, Melissa L</creatorcontrib><creatorcontrib>Egan, Nicholas</creatorcontrib><creatorcontrib>Forder, Peta M</creatorcontrib><creatorcontrib>Bateson, Deborah</creatorcontrib><creatorcontrib>Loxton, Deborah</creatorcontrib><title>Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Pregnancies among women with chronic disease are associated with poor maternal and fetal outcomes. There is a need to understand how women use or don't use contraception across their reproductive years to better inform the development of preconception care strategies to reduce high risk unintended pregnancies, including among women of older reproductive age. However, there is a lack of high-quality longitudinal evidence to inform such strategies. We examined patterns of contraceptive use among a population-based cohort of reproductive aged women and investigated how chronic disease influenced contraceptive use over time.
Contraceptive patterns from 8,030 women of reproductive age from the Australian Longitudinal Study on Women's Health (1973-78 cohort), who were at potential risk of an unintended pregnancy were identified using latent transition analysis. Multinomial mixed-effect logistic regression models were used to evaluate the relationship between contraceptive combinations and chronic disease. Contraception non-use increased between 2006 and 2018 but was similar between women with and without chronic disease (13.6% vs. 12.7% among women aged 40-45 years in 2018). When specific contraceptive use patterns were examined over time, differences were found for women with autoinflammatory diseases only. These women had increased odds of using condom and natural methods (OR = 1.20, 95% CI = 1.00, 1.44), and sterilisation and other methods (OR = 1.61, 95% CI = 1.08, 2.39) or no contraception (OR = 1.32, 95% CI = 1.04, 1.66), compared to women without chronic disease using short-acting methods and condoms.
Potential gaps in the provision of appropriate contraceptive access and care exist for women with chronic disease, particularly for women diagnosed with autoinflammatory conditions. Development of national guidelines as well as a clear coordinated contraceptive strategy that begins in adolescence and is regularly reviewed during care management through their main reproductive years and into perimenopause is required to increase support for, and agency among, women with chronic disease.</description><subject>Adult</subject><subject>Analysis</subject><subject>Australia - epidemiology</subject><subject>Australians</subject><subject>Birth control</subject><subject>Chronic diseases</subject><subject>Chronic illnesses</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Committees</subject><subject>Complications and side effects</subject><subject>Condoms</subject><subject>Contraception</subject><subject>Contraception Behavior</subject><subject>Contraceptive Agents</subject><subject>Contraceptives</subject><subject>Diagnosis</subject><subject>Disease</subject><subject>Female</subject><subject>Fetuses</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Humans</subject><subject>Inflammatory diseases</subject><subject>Longitudinal Studies</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Reproductive sterilization</subject><subject>Research and Analysis Methods</subject><subject>Research ethics</subject><subject>Sterilization</subject><subject>Vasectomy</subject><subject>Women</subject><subject>Womens 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Morara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-05-03</date><risdate>2023</risdate><volume>18</volume><issue>5</issue><spage>e0268872</spage><epage>e0268872</epage><pages>e0268872-e0268872</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Pregnancies among women with chronic disease are associated with poor maternal and fetal outcomes. There is a need to understand how women use or don't use contraception across their reproductive years to better inform the development of preconception care strategies to reduce high risk unintended pregnancies, including among women of older reproductive age. However, there is a lack of high-quality longitudinal evidence to inform such strategies. We examined patterns of contraceptive use among a population-based cohort of reproductive aged women and investigated how chronic disease influenced contraceptive use over time.
Contraceptive patterns from 8,030 women of reproductive age from the Australian Longitudinal Study on Women's Health (1973-78 cohort), who were at potential risk of an unintended pregnancy were identified using latent transition analysis. Multinomial mixed-effect logistic regression models were used to evaluate the relationship between contraceptive combinations and chronic disease. Contraception non-use increased between 2006 and 2018 but was similar between women with and without chronic disease (13.6% vs. 12.7% among women aged 40-45 years in 2018). When specific contraceptive use patterns were examined over time, differences were found for women with autoinflammatory diseases only. These women had increased odds of using condom and natural methods (OR = 1.20, 95% CI = 1.00, 1.44), and sterilisation and other methods (OR = 1.61, 95% CI = 1.08, 2.39) or no contraception (OR = 1.32, 95% CI = 1.04, 1.66), compared to women without chronic disease using short-acting methods and condoms.
Potential gaps in the provision of appropriate contraceptive access and care exist for women with chronic disease, particularly for women diagnosed with autoinflammatory conditions. Development of national guidelines as well as a clear coordinated contraceptive strategy that begins in adolescence and is regularly reviewed during care management through their main reproductive years and into perimenopause is required to increase support for, and agency among, women with chronic disease.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37134070</pmid><doi>10.1371/journal.pone.0268872</doi><tpages>e0268872</tpages><orcidid>https://orcid.org/0000-0002-5733-9684</orcidid><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
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| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Analysis Australia - epidemiology Australians Birth control Chronic diseases Chronic illnesses Cohort analysis Cohort Studies Committees Complications and side effects Condoms Contraception Contraception Behavior Contraceptive Agents Contraceptives Diagnosis Disease Female Fetuses Health aspects Health risks Humans Inflammatory diseases Longitudinal Studies Medical research Medicine and Health Sciences Medicine, Experimental Middle Aged Population Pregnancy Regression analysis Regression models Reproductive sterilization Research and Analysis Methods Research ethics Sterilization Vasectomy Women Womens health |
| title | Patterns of contraceptive use through later reproductive years: A cohort study of Australian women with chronic disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T21%3A08%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Patterns%20of%20contraceptive%20use%20through%20later%20reproductive%20years:%20A%20cohort%20study%20of%20Australian%20women%20with%20chronic%20disease&rft.jtitle=PloS%20one&rft.au=Harris,%20Melissa%20L&rft.date=2023-05-03&rft.volume=18&rft.issue=5&rft.spage=e0268872&rft.epage=e0268872&rft.pages=e0268872-e0268872&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0268872&rft_dat=%3Cgale_plos_%3EA747925154%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2808969043&rft_id=info:pmid/37134070&rft_galeid=A747925154&rft_doaj_id=oai_doaj_org_article_bdc4e19b989246d1abcdfd99afd8dfbd&rfr_iscdi=true |